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Friends of THA and HOSPAC Online Contribution Form

<!DOCTYPE html"> <html lang="en"> <head><script type="text/javascript" src="/_static/js/bundle-playback.js?v=HxkREWBo" charset="utf-8"></script> <script type="text/javascript" src="/_static/js/wombat.js?v=txqj7nKC" charset="utf-8"></script> <script>window.RufflePlayer=window.RufflePlayer||{};window.RufflePlayer.config={"autoplay":"on","unmuteOverlay":"hidden"};</script> <script type="text/javascript" src="/_static/js/ruffle/ruffle.js"></script> <script type="text/javascript"> __wm.init("https://web.archive.org/web"); __wm.wombat("https://secure.tha.com/friends/","20150504050119","https://web.archive.org/","web","/_static/", "1430715679"); </script> <link rel="stylesheet" type="text/css" href="/_static/css/banner-styles.css?v=S1zqJCYt" /> <link rel="stylesheet" type="text/css" href="/_static/css/iconochive.css?v=3PDvdIFv" /> <!-- End Wayback Rewrite JS Include --> <meta charset="utf-8"/><meta http-equiv="X-UA-Compatible" content="IE=edge"/><meta name="viewport" content="width=device-width, initial-scale=1"/><meta name="description"/><meta name="author"/><title> Friends of THA and HOSPAC Online Contribution Form </title> <!-- Bootstrap Core CSS --> <link href="/web/20150504050119cs_/https://secure.tha.com/friends/bootstrap/landing/css/bootstrap.min.css" rel="stylesheet"/> <!-- Custom CSS --> <link href="/web/20150504050119cs_/https://secure.tha.com/friends/bootstrap/landing/css/landing-page.css" rel="stylesheet"/><link href="/web/20150504050119cs_/https://secure.tha.com/friends/bootstrap/landing/css/custom.css" rel="stylesheet"/> <!-- Custom Fonts --> <link href="/web/20150504050119cs_/https://secure.tha.com/friends/bootstrap/landing/font-awesome-4.1.0/css/font-awesome.min.css" rel="stylesheet" type="text/css"/><link href="https://web.archive.org/web/20150504050119cs_/https://fonts.googleapis.com/css?family=Lato:300,400,700,300italic,400italic,700italic" rel="stylesheet" type="text/css"/><link href="https://web.archive.org/web/20150504050119cs_/https://fonts.googleapis.com/css?family=Vollkorn" rel="stylesheet" type="text/css"/> <!-- HTML5 Shim and Respond.js IE8 support of HTML5 elements and media queries --> <!-- WARNING: Respond.js doesn't work if you view the page via file:// --> <!--[if lt IE 9]> <script src="https://oss.maxcdn.com/libs/html5shiv/3.7.0/html5shiv.js"></script> <script src="https://oss.maxcdn.com/libs/respond.js/1.4.2/respond.min.js"></script> <![endif]--> <title>Friends of THA Online Contribution Form</title> </head> <body> <form name="aspnetForm" method="post" action="default.aspx" onsubmit="javascript:return WebForm_OnSubmit();" id="aspnetForm"> <div> <input type="hidden" name="__EVENTTARGET" id="__EVENTTARGET" value=""/> <input type="hidden" name="__EVENTARGUMENT" id="__EVENTARGUMENT" value=""/> <input type="hidden" name="__VIEWSTATE" id="__VIEWSTATE" value="/wEPDwUKMTY1NDU2MTA1MmRkjeIPbDaYzttph2+AXQny+lFtbxM="/> </div> <script type="text/javascript"> //<![CDATA[ var theForm = document.forms['aspnetForm']; if (!theForm) { theForm = document.aspnetForm; } function __doPostBack(eventTarget, eventArgument) { if (!theForm.onsubmit || (theForm.onsubmit() != false)) { theForm.__EVENTTARGET.value = eventTarget; theForm.__EVENTARGUMENT.value = eventArgument; theForm.submit(); } } //]]> </script> <script src="/web/20150504050119js_/https://secure.tha.com/friends/WebResource.axd?d=2VIHf7Dy7e26pLj9CXHMfJlGKngz_YQc9kjKb7HD3DGmmLUEkWm3IEelSADdxIqAEDJMH4zvsxEM2MPB6GkmfsCFIQM1&amp;t=635515065078593750" type="text/javascript"></script> <script src="/web/20150504050119js_/https://secure.tha.com/friends/WebResource.axd?d=dJ_9-Kg_HofMVnWfLdoIp5R0yWAGFK8peCIjCOYhw561O8HTWatar7rFXj-c5qgG4N0F0azEyWpeIoSGVQNoW0PvWSI1&amp;t=635515065078593750" type="text/javascript"></script> <script type="text/javascript"> //<![CDATA[ function WebForm_OnSubmit() { if (typeof(ValidatorOnSubmit) == "function" && ValidatorOnSubmit() == false) return false; return true; } //]]> </script> <div> <input type="hidden" name="__VIEWSTATEGENERATOR" id="__VIEWSTATEGENERATOR" value="0E0D62C3"/> <input type="hidden" name="__EVENTVALIDATION" id="__EVENTVALIDATION" value="/wEWBQLOkb7WAQKCitHyDQL70dTVBALqmpR5ApWL9pwNMMN5t1es/Ei3+xr5fyIaaBW+B3o="/> </div> <!-- Header --> <div class="intro-header"> <div class="container"> <div class="row"> <div class="col-lg-12"> <div class="intro-message"> <h1>Friends of THA and HOSPAC</h1> <h3>Online Contribution Form</h3> <hr class="intro-divider"> <div class="row landing-input rounded"> <div class="col-sm-2"> </div> <div class="col-sm-4"> <div class="form-group"> <p class="lead">Are you a member of the THA board of directors, a member of an AHA council, committee or board, or a THA employee?</p> </div> </div> <div class="col-sm-4"> <div class="form-group"> <select name="ctl00$ddlDonorType" id="ctl00_ddlDonorType" class="form-control dropdown"> <option value="">select one</option> <option value="friendspac">No</option> <option value="hospac">Yes</option> </select> <span id="ctl00_rfvDonorType" style="color:White;display:none;">* Please make a selection *</span> </div> </div> <div class="col-sm-2"> </div> </div> <ul class="list-inline intro-social-buttons" style="margin-top:20px;"> <li> <a id="ctl00_btnContinue" class="btn btn-default btn-lg" href="javascript:WebForm_DoPostBackWithOptions(new WebForm_PostBackOptions(&quot;ctl00$btnContinue&quot;, &quot;&quot;, true, &quot;&quot;, &quot;&quot;, false, true))">CONTINUE</a> </li> </ul> </div> </div> </div> </div> <!-- /.container --> </div> <!-- /.intro-header --> <!-- <div class="content-section-a"> <div class="container"> <div class="row"> <div class="col-lg-5 col-sm-6"> <hr class="section-heading-spacer"> <div class="clearfix"></div> <h2 class="section-heading">Section heading:<br>additional copy</h2> <p class="lead">Brief description here.</p> </div> <div class="col-lg-5 col-lg-offset-2 col-sm-6"> <img class="img-responsive" src="img/ipad.png" alt=""> </div> </div> </div> </div>--> <!-- /.container --> <script type="text/javascript"> //<![CDATA[ var Page_Validators = new Array(document.getElementById("ctl00_rfvDonorType")); 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